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1073130159
CARLOS MANUEL SANTANA DIAZ
TAMPA, FL
NPI
1073130159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11007844)
Enumeration Date
2020-07-06
Last Update Date
2023-03-08
Business Address
CARLOS MANUEL SANTANA DIAZ
8340 STONE RUN CT
TAMPA, FL 33615-1879
Phone number: 813-712-1726
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Mailing Address
CARLOS MANUEL SANTANA DIAZ
28944 LONG MEADOW LOOP
WESLEY CHAPEL, FL 33543-6472
Phone number:
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